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TUR bladder tumor

Annie Posted Fri 09th of January, 2015 13:10:08 PM

After adequate general anesthesia was obtained the patient was placed in the lithotomy position and prepped and draped in the usual manner. Initially a 20-French cystoscope was introduced and 70 degree lens. The bladder was visualized and a papillary tumor was seen in
the right lateral wall just lateral and superior to the right ureteral
orifice. It was papillary and probably at least a centimeter across. It was removed with multiple cup biopsies and then the biopsy appeared to go full-thickness. There was some fat which was also sent with the specimen and fulguration was accomplished with the resectoscope loop and good hemostasis was obtained. Foley was inserted. The patient had Mitomycin C.

coded as 52235 path says tumor mass averaging 1cm. to 4mm

SuperCoder Answered Mon 12th of January, 2015 02:59:09 AM

Tumor of size 1 cm to 4 mm would fall under the code 52234, Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm).

Use code 52234. Thanks !!

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